Document Detail


The relationship between mixed venous and hepatic venous O2 saturation in patients with septic shock.
MedLine Citation:
PMID:  7915869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It was the purpose of this study to measure the relationship between hepatic venous O2 saturation (ShvO2) and mixed venous O2 saturation (SvO2) in septic patients (n = 21) following treatment with various catecholamines (epinephrine, norepinephrine, dopamine, dopexamine). At baseline mean SvO2 was 74 +/- 5% while mean ShvO2 was 59 +/- 12%. Alpha-mimetic substances such as epinephrine and norepinephrine reduced ShvO2 and increased the difference between SvO2 and ShvO2.Beta2-mimetic and dopaminergic substances (dopexamine, dopamine) did not change the difference between SvO2 and ShvO2. These results show that SvO2 does not necessarily reflect all changes of ShvO2. Monitoring ShvO2 may be helpful in managing septic shock by adding information on adequacy of O2 supply/consumption ratio in the crucial splanchnic region.
Authors:
A Meier-Hellmann; L Hannemann; M Specht; W Schaffartzik; C Spies; K Reinhart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in experimental medicine and biology     Volume:  345     ISSN:  0065-2598     ISO Abbreviation:  Adv. Exp. Med. Biol.     Publication Date:  1994  
Date Detail:
Created Date:  1994-10-06     Completed Date:  1994-10-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0121103     Medline TA:  Adv Exp Med Biol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  701-7     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Surgical Intensive Care Medicine, Steglitz Medical Center, Free University of Berlin, Germany.
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MeSH Terms
Descriptor/Qualifier:
Dobutamine / pharmacology
Dopamine / analogs & derivatives,  pharmacology
Dopamine Agents / pharmacology
Epinephrine / pharmacology
Hepatic Veins
Humans
Norepinephrine / pharmacology
Oxygen / blood*,  metabolism
Oxygen Consumption / drug effects
Shock, Septic / blood*
Splanchnic Circulation / drug effects
Veins
Chemical
Reg. No./Substance:
0/Dopamine Agents; 34368-04-2/Dobutamine; 51-41-2/Norepinephrine; 51-43-4/Epinephrine; 7782-44-7/Oxygen; 86197-47-9/dopexamine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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